Osvaldo Niebla Diaz, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

15476 Issued in PR

Practice address

112 Acuarela. Quintavalle
Apto. 118
Guaynabo, PR 00969-3599

Phone

(787) 708-1712

NPI assigned

Jun 27, 2006

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 16, 2015.

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421366400000",
    "number": "1174550131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 ACUARELA. QUINTAVALLE",
            "address_2": "APTO. 118",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009693599",
            "telephone_number": "787-708-1712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 ACUARELA. QUINTAVALLE",
            "address_2": "APTO. 118",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009693599",
            "telephone_number": "787-708-1712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEBLA DIAZ",
        "first_name": "OSVALDO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2015-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Guaynabo, PR
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.